Revised week 8

Question 1

What drugs should you avoid grapefruit

Answer 1

Amiodarone
Verapamil, diltiazem

Question 2

Effects of beta blockers on diabetics and absorption of insulin

Answer 2

Enhances the effects of hypoglycemics
Could increase blood glucose

Question 3

What medications are used to treat bradycardia

Answer 3

atropine, epinephrine, and dopamine (?)

Question 4

Therapeutic levels of digoxin

Answer 4

0.5-2

Question 5

Antidote to digoxin

Answer 5

Digibind

Question 6

nursing interventions and precautions for Warfarin

Answer 6

monitor pt/ inr; avoid vitamin k supplements and protein supplement drinks, and limit intake of garlic

Question 7

nursing intervention and precautions for clopidrogrel (Plavix)

Answer 7

stop 5 days before surgery; asians have decreased response; hold pressure for longer period

Question 8

nursing interventions and precautions for altepase (activase)

Answer 8

check vs q 15 minutes, bedrest, hold pressure x 30 minutes, no im/sq injections

Question 9

Normal troponin levels

Answer 9

0-0.4

Question 10

Normal BNP

Answer 10

less than 100

Question 11

Why shouldn’t pts with asthma or COPD take beta blockers

Answer 11

Bronchospasm

Question 12

Side effects of ACE inhibitors (lisinopril, captopril, zestril)

Answer 12

cough, headache, dizziness, orthostatic hypotension, first-dose phenomenon, hyperkalemia; Serious adverse effect-angioedema

Question 13

Food and medications to avoid when taking blood thinners

Answer 13

avoid vitamin k supplements* and protein supplement drinks, and limit intake of garlic. do not administer in patients with an epidural

Question 14

chronic conditions that lead to heart failure

Answer 14

mitral stenosis, myocardial infarction (MI), chronic hypertension (HTN), coronary artery disease (CAD), diabetes mellitus

Question 15

Actions to take when anti-dysrythmic med error occurs

Answer 15

• Vs
• Continuous EKG
• Vasopressors for hypotension
• Atropine for bradycardia

Question 16

Adverse effects of cardiac glycosides

Answer 16

n/v dysrythmia, visual disturbances(halos,yellow-green tinge, blurring)
dysrhythmias especially in the presence of hypokalemia**

Question 17

Adverse effects of beta blockers

Answer 17

bradycardia, orthostatic hypotension, abnormal sexual function, drowsiness, fatigue

Question 18

Adverse effects of Heparin

Answer 18

abnormal bleeding and heparin-induced thrombocytopenia (HIT), results in the opposite effect of excessive bleeding

Question 19

Adverse effects of clopidrogrel (Plavix)

Answer 19

abnormal bleeding, flulike syndrome, headache, dizziness, bruising, and rash or pruritus, tcp

Question 20

Which medications can mask hypoglycemia

Answer 20

beta blockers

Question 21

what medication can increase digoxin toxicity by 70%, increases effects of coumadin

Answer 21

amiodarone

Question 22

Which toxicity could occur when taking amiodarone

Answer 22

pulmonary